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新南威尔士州温杰卡里比郡肠道病毒30型脑膜炎疫情

Outbreak of echovirus 30 meningitis in Wingecarribee Shire, New South Wales.

作者信息

Gosbell I, Robinson D, Chant K, Crone S

机构信息

Department of Microbiology and Infectious Diseases, School of Pathology, Faculty of Medicine, University of New South Wales.

出版信息

Commun Dis Intell. 2000 May;24(5):121-4. doi: 10.33321/cdi.2000.24.18.

DOI:10.33321/cdi.2000.24.18
PMID:11085017
Abstract

An outbreak of aseptic meningitis due to echovirus 30 occurred in the Wingecarribee Shire, NSW, during October to November 1994, with 30 cases fitting the clinical case definition. Cases were ascertained from attendees of the local hospital. Medical files were reviewed and a standard questionnaire administered. Viral cultures were performed on CSF, throat swabs and stool specimens. The clinical presentation and laboratory findings were typical of viral meningitis. Cases were aged 8 months to 51 years; 26 were admitted to hospital. Headache was present in 93%, photophobia in 86%, vomiting in 69%, fever in 72%, and neck stiffness in 62%. In spite of temporal clustering, the mode(s) of transmission in this outbreak remain speculative. Although the route of transmission was not established, general hygiene measures to stop transmission were implemented when a common water source was excluded on epidemiological grounds.

摘要

1994年10月至11月期间,新南威尔士州温杰卡里比郡发生了由肠道病毒30型引起的无菌性脑膜炎疫情,有30例符合临床病例定义。病例是从当地医院的就诊者中确定的。查阅了病历并发放了标准问卷。对脑脊液、咽拭子和粪便标本进行了病毒培养。临床表现和实验室检查结果均符合病毒性脑膜炎的特征。病例年龄在8个月至51岁之间;26人住院治疗。93%的患者有头痛症状,86%有畏光症状,69%有呕吐症状,72%有发热症状,62%有颈部僵硬症状。尽管病例出现时间集中,但此次疫情的传播方式仍属推测。虽然传播途径尚未确定,但当根据流行病学依据排除了一个公共水源时,已采取了一般性卫生措施以阻止传播。

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